| NPI | 1518894500 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GISLENE KOUESSEU CEO 424-376-7211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X Community/Behavioral Health |
| Additional Taxonomies | 103TF0200X Psychologist, Forensic |
| 163W00000X Registered Nurse | |
| 164X00000X Licensed Vocational Nurse | |
| 171M00000X Case Manager/Care Coordinator | |
| 172V00000X Community Health Worker | |
| 343900000X Non-emergency Medical Transport (VAN) | |
| 101YS0200X Counselor, School | |
| 103K00000X Behavior Analyst | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2026-05-05 |
| Last Update Date | 2026-05-05 |